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Review : Attachment and attachment-related outcomes in preschool children - a review of recent evidence

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Barlow, Jane, McMillan, Anita Schrader, Axford, Nick, Wrigley, Zoe, Sonthalia, Shreya, Wilkinson, Tom, Rawsthorn, Michaela, Toft, Alex and Coad, Jane (2016) Review : Attachment and attachment-related outcomes in preschool children - a review of recent evidence. Child and Adolescent Mental Health, 21 (1). pp. 11-20. doi:10.1111/camh.12138

Research output not available from this repository, contact author.
Official URL: http://dx.doi.org/10.1111/camh.12138

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Abstract

Background
Secure attachment is associated with optimal outcomes across all domains in childhood, and both insecure and disorganised attachment are associated with a range of later psychopathologies. Insecure and disorganised attachment are common, particularly in disadvantaged populations, pointing to the need to identify effective methods of addressing such problems.

Aims
This paper presents the findings of a review of secondary and primary studies evaluating the effectiveness of interventions aimed at improving attachment and attachment-related outcomes on a universal, targeted or indicated basis, which was undertaken as part of an update of the evidence base for a UK-based national programme targeting children aged 0–5 years (Healthy Child Programme).

Method
A systematic search of key electronic databases was undertaken to identify secondary and primary sources of data that addressed the research question and that had been published between 2008 and 2014; search sources included Cochrane Collaboration, NICE, EPPI Centre, Campbell Collaboration and PubMed, PsychInfo, CINAHL databases.

Findings
Six systematic reviews and 11 randomised controlled trials were identified that had evaluated the effectiveness of universal, selective or indicated interventions aimed at improving attachment and attachment-related outcomes in children aged 0–5 years. Potentially effective methods of improving infant attachment include parent–infant psychotherapy, video feedback and mentalisation-based programmes. Methods that appear to be effective in improving attachment-related outcomes include home visiting and parenting programmes.

Conclusions
A number of methods of working to promote attachment and attachment-related outcomes in preschool children are now being recommended as part of the Healthy Child Programme. The implications in terms of the role and contribution of practitioners working in child and adolescent mental health service are discussed

Item Type: Journal Article
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
Journal or Publication Title: Child and Adolescent Mental Health
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 1475357X
Official Date: 21 January 2016
Dates:
DateEvent
21 January 2016Published
25 November 2015Available
30 September 2015Accepted
Volume: 21
Number: 1
Page Range: pp. 11-20
DOI: 10.1111/camh.12138
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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